Phoenix Spine and Regenerative Orthopedics LLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

PHOENIX SPINE AND REGENERATIVE ORTHOPEDICS LLC

Practice address

105 Raider Blvd Ste 208
Hillsborough, NJ 08844-1528

Phone

(201) 334-0349

Fax

(848) 216-2255

NPI assigned

Aug 7, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Aleya Salam, MD

Title

Owner

Phone

(201) 344-0349

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533600000000",
    "number": "1477032894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 RAIDER BLVD STE 208",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441528",
            "fax_number": "848-216-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 RAIDER BLVD STE 208",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441528",
            "telephone_number": "201-334-0349",
            "fax_number": "848-216-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX SPINE AND REGENERATIVE ORTHOPEDICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-07",
        "status": "A",
        "authorized_official_last_name": "SALAM",
        "authorized_official_first_name": "ALEYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-344-0349",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Perez
• Perfect Formation Physical Therapy
• Performance Medical Group of Hillsborough LLC
• John B Peterson, DMD
• Christina Petrelis
• Richard F Piech, M.D.
• Susannah B Pilato, M. S., CCC-SLP
• Pilgram River LLC
• Mrudula Pingili, DDS
• Lisa A Pittarelli, M.D.

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Hillsborough, NJ
• Providers in Hillsborough, NJ by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.